Identification of malnutrition-related diabetes mellitus among hospitalized patients in Taiwan.

K. W. Chen*, C. J. Lee, H. S. Huang, J. D. Lin, B. Y. Huang, M. J. Huang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review


A retrospective review of 1,089 diabetes mellitus admitted to the metabolic ward of Chang Gung Memorial Hospital was performed to screen for malnutrition-related diabetes mellitus (MRDM). None of the patients fulfilled the MRDM criteria, although 20 patients with a body mass index < or = 15 kg/m2 were further analyzed. These patients presented with poor glycemic control and most had associated chronic diseases. C-peptide levels were < 0.8 ng/mL in 17 patients and undetectable in six patients. Two patients experienced diabetic ketoacidosis (DKA). Insulin treatment was required by 18 patients with a mean (+/- SD) dosage of 30 +/- 9 U/day. During follow-up of 14 of the patients for 9.8 +/- 4.3 months, HbA1c decreased significantly. Their mean body weight and body mass index increased significantly from 36.6 +/- 4.6 kg to 47.2 +/- 6.2 kg and 13.9 +/- 0.9 to 18.0 +/- 1.9 kg/m2, respectively. Careful attention should be paid to diabetic control and associated chronic illness in patients with severe undernutrition.

Original languageEnglish
Pages (from-to)76-78
Number of pages3
JournalJournal of the Formosan Medical Association
Issue number1
StatePublished - 01 1996


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